Melissa A. Guirand, CRNP
NPI 1043944820ActiveIndividual· Nurse Practitioner, Family· Harrisburg, PA
Nurse Practitioner, Family (CRNP) with Pinnacle Health Medical Services, practicing in Harrisburg, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $900,486 for 1,969 claims, against $13,190 paid for services in 2024. Abbvie Inc. was the largest of 8 companies reporting payments in 2025, $745.01 in all, mostly food and beverage. Lists Upmc Pinnacle Hospitals as a hospital affiliation.
Overview
| NPI | 1043944820 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNP |
| Sole proprietor | No |
| NPI issued | Jul 15, 2022 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP025834 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 118 |
|---|---|
| Services billed | 810 across 12 procedure codes |
| Paid by Medicare | $13,190 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,969 · 3,524 30-day fills |
|---|---|
| Patients | 566 |
| Total drug cost | $900,486 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Pinnacle Health Medical ServicesHarrisburg, PA · 1,019 clinicians
Hospital affiliation
- Upmc Pinnacle HospitalsHarrisburg, PA
Industry payments (Open Payments)
- 2025$745.01 · 10 payments from 8 companies
- 2024$441.03 · 7 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $256.48 | 3 |
| Eisai Inc. | $125.00 | 1 |
| Axsome Therapeutics, Inc. | $117.60 | 1 |
| E.R. Squibb & Sons, L.L.C. | $109.51 | 1 |
| Emd Serono, Inc. | $76.36 | 1 |
What the 2025 payments were for
- Food and Beverage$745.01 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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